Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Firat University, Faculty of Medicine, Elazig, Turkey.
Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Ondokuz Mayis University, Faculty of Medicine, Samsun, Turkey.
J Back Musculoskelet Rehabil. 2021;34(4):545-553. doi: 10.3233/BMR-200179.
Although carpal tunnel syndrome (CTS) is a common neuromuscular disorder, studies on its conservative treatment are inadequate and contradictory.
This study aimed to investigate and compare the effectiveness of low power laser therapy (LPLT) and Kinesio taping (KT) for the treatment of CTS.
Sixty patients with CTS were included in this study. One group received 15 sessions of KT, and the second group underwent 15 sessions of LPLT within three weeks. All patients were assessed with hand grip strength (HGS), Visual Analogue Scale (VAS)-pain, Douleur Neuropathique-4 (DN4) score, Boston Questionnaire (BQ), and electroneuromyography before and after treatment.
Before treatment, all clinical and neurophysiological parameters were similar between the groups. After treatment, both groups significantly improved in terms of HGS, VAS-pain, DN4, and BQ. However, the LPLT group had significantly better HGS, VAS-pain, DN4, and BQ than the KT group. In addition, while median nerve motor distal latency and median nerve sensory conduction velocity improved significantly with treatment in both groups, the LPLT group's improvement was significantly better than that of the KT group.
In patients with CTS, both LPLT and KT were effective treatments. However, the LPLT group had significantly better improvements than the KT group.
尽管腕管综合征(CTS)是一种常见的神经肌肉疾病,但针对其保守治疗的研究还不够充分,且存在矛盾。
本研究旨在探讨和比较低强度激光疗法(LPLT)和肌内效贴布(KT)治疗 CTS 的效果。
本研究纳入了 60 例 CTS 患者。一组接受 15 次 KT,另一组在三周内接受 15 次 LPLT。所有患者在治疗前后均接受手握力(HGS)、视觉模拟评分(VAS-疼痛)、DN4 评分、波士顿问卷(BQ)和神经电生理检查。
治疗前,两组的所有临床和神经生理参数均相似。治疗后,两组的 HGS、VAS-疼痛、DN4 和 BQ 均显著改善。然而,LPLT 组在 HGS、VAS-疼痛、DN4 和 BQ 方面的改善明显优于 KT 组。此外,虽然两组的正中神经运动末端潜伏期和正中神经感觉传导速度在治疗后均有显著改善,但 LPLT 组的改善明显优于 KT 组。
对于 CTS 患者,LPLT 和 KT 都是有效的治疗方法,但 LPLT 组的改善明显优于 KT 组。